大鼠肝癌发生过程中p53的突变和甲胎蛋白的表达

采用免疫组织化学ＡＢＣ和ＰＡＰ法,对二乙基亚硝胺（ＤＥＮ）诱发大鼠肝癌发生过程中突变型ｐ５３蛋白（ｍｐ５３）和甲胎蛋白（ＡＦＰ）在肝细胞中的表达进行了系统观察。结果显示：（１）ＤＥＮ诱发大鼠肝癌发生率为１００％;（２）正常大鼠及诱癌第４周大鼠的肝细胞均不表达ｍｐ５３,至诱癌第８周,可见少量肝细胞表达ｍｐ５３,诱癌晚期的癌结节内大部分肝癌细胞呈ｍｐ５３阳性表达,ｍｐ５３免疫反应阳性产物为胞核内棕褐色颗粒;（３）正常大鼠肝细胞不表达ＡＦＰ,诱癌早期（４～８周）的大鼠肝小叶内可见少量ＡＦＰ阳性肝细胞,多为小肝细胞,呈散在分布,此后ＡＦＰ阳性肝细胞逐渐增多,晚期的癌结节内大部分癌细胞呈ＡＦＰ阳性,ＡＦＰ免疫反应阳性产物为胞浆内棕褐色颗粒。结果提示,ｍｐ５３和ＡＦＰ可作为分析肝癌进展的病理学指标     

大鼠肝癌发生过程中增殖细胞核抗原（PCNA／Cyclin）的表达

应用免疫组织化学的ＡＢＣ法,对二乙基亚硝胺（ＤＥＮ）诱发大鼠发生过程中增殖细胞核抗原在肝组织中的表达进行了系统观察。结果显示：正常大鼠肝组织中仅见极少数ＰＣＮＡ阳性肝细胞,阳性率为０．０８％,随着诱癌进程发展,大鼠肝组织中ＰＣＮＡ阳性肝细胞逐渐增多,诱癌第４、８、１２周,大鼠肝组织中ＰＣＮＡ阳性肝细胞百分率分别为１．６％、３．８％、１６．２％,诱癌晚期癌结节内大部分肝癌细胞里ＰＣＮＡ阳性表达,阳性率为８０．６％。本研究结果表明原位检测ＰＣＮＡ表达比传统依据形态学分化程度来判断肿瘤发生可能性更为客观、可靠。     

大鼠肝癌发生过程中转化生长因子-β1的表达及意义

为了进一步探讨转化生长因子-β1在肝癌发生中的作用和意义。本采用免疫组织化学ABC法,对二乙基亚硝胺（DEN）诱发大鼠肝癌发生过程中转化生长因子-β1（Transforming growth factor-β1,TGF-β1）表达情况进行了观察。结果显示;在正常大鼠肝脏,TGF-β1的表达只局限于血窦内皮细胞或枯否细胞,汇管区血管内皮细胞及胆管上皮细胞,肝细胞呈TGF-β1阴性表达,诱癌早期（4-8周）,大鼠肝小叶内除血窦内皮细胞或枯否细胞呈TGF-β1阳性表达外,可见少量散在分布的肝细胞呈TGF-β1阳性表达,阳性肝细胞胞质内可见棕褐色阳性反应颗粒,随着肝癌发展,TGF-β1阳性肝细胞逐渐增多,至诱癌晚期（18周）,癌结节内的大多数肝癌细胞呈TGF-β1阳性表达。本研究显示TGF-β1与肝癌的发生和发展密切相关。至诱癌晚期（18周）,癌结节内的大多数肝癌细胞呈TGF-β1阳性表达,本研究显示TGF-β1与肝癌的发生和发展密切相关。     

Bax蛋白在大鼠肝癌发生过程中的表达和意义

通过动态观察Bax蛋白在实验性大鼠肝癌发生过程中肝细胞的表达,探讨Bax蛋白与肝癌发生的关系及其生物学意义。用DEN饲喂大鼠,分别于第4、8、12、16、18周处死大鼠,取其肝脏,石蜡切片,ABC法免疫组织化染色。结果显示：正常成年大鼠肝细胞均有中等程度Bax蛋白表达。至诱癌第4周大鼠肝小叶内有少数肝细胞呈Bax蛋白免疫阳性反应,随诱癌发展进程,呈Bax蛋白免疫阳性反应肝细胞进一步减少,第12周,只可见肝细胞增生结节的多数肝细胞呈Bax蛋白免疫阳性反应。诱癌晚期（第18周）,癌结节内肝癌细胞均呈Bax免疫反应阳性,其强度较正常肝细胞明显增强,Bax蛋白免疫反应产物为胞质内粗大的棕褐色颗粒。部争肝细胞胞质和胞膜均呈阳性,肝癌细胞最为常见。结果表明：Bax蛋白表达减少或缺失是肝癌发生过程中的早期事件,可能参与肝癌的启动过程。     

实验性肝癌糖原和癌基因N-ras表达的研究

通过应用原位杂交和组织化学技术,对二乙基亚硝胺诱发的大鼠肝细胞肝癌中糖原和癌基因Ｎ－ｒａｓ表达的研究,发现从诱癌早期到晚期,肝细胞内的糖原由储积而逐渐丧失。Ｎ－ｒａｓ在诱癌的第１～２周即出现阳性表达,随诱癌过程的延长,阳性表达的细胞数和范围逐渐增加,至诱癌晚期甚至在癌结节内均转为阴性。对肝组织连续切片中糖原和Ｎ－ｒａｓ表达的对比观察发现,糖原ＰＡＳ反应与Ｎ－ｒａｓ反应同步,糖原ＰＡＳ反应具有与Ｎ－ｒａｓ一致的异质性,其阳性与阴性病变分布与Ｎ－ｒａｓ表达重叠。提示Ｎ－ｒａｓ基因表达可能在肝癌的启动过程中发挥重要作用,并且可能涉及对糖原基因的调控。     

化学诱发大鼠肝癌的亚细胞组分中两类丝氨酸蛋白激酶的动态变化

用二乙基亚硝胺（ＤＥＮ）诱发大鼠肝癌,隔周测定肝脏胞液、膜性和胞核中的蛋白激酶Ａ（ＰＫＡ）和蛋白激酶Ｃ（ＰＫＣ）的活力。发现胞液ＰＫＡ在诱癌过程中活力改变不大,胞液ＰＫＣ则逐步增高,在第１３周和２０周形成两个活力高峰。膜性ＰＫＡ和ＰＫＣ都呈双相变化,即在癌前期（１０－１４周）增加,癌形成期（１７－２０周）反而降至正常以下,胞核ＰＫＡ和ＰＫＣ也都在癌前期升至高峰,而癌形成期则低于癌前期,但仍高于正常（ＰＫＡ）或接近正常（ＰＫＣ）。因只有膜性ＰＫＣ在大鼠老化时降低,故这些变化不是鼠龄变化的结果,而是ＤＥＮ诱癌所引起,其变化机理可能与下降调节、细胞内转位或两型同工酶相反的升降变化有关。     

维甲酸对亚硝胺诱发大鼠肝癌的阻断作用

二乙基亚硝胺（ＤＥＮ）诱发大鼠肝癌过程中,可使肝中增殖指标γ－谷氨酰转肽酶（γ－ＧＴ）,谷胱甘肽Ｓ－转移酶（ＧＳＴ）,胞液和膜性酪氨酸蛋白激酶（ｃ－ＴＰＫ,ｍ－ＴＰＫ）有不同程度的逐步升高,直至１６周（除ｃ－ＴＰＫ在第１２周活力最高外）,而分化指标精氨酸酶（ＡＧＮ）则明显降低,如在诱癌开始的同时给予全反式维甲酸（ＲＡ）连续１６周则可延缓γ－ＧＴ、ＧＳＴ和两种ＴＰＫ的升高和ＡＧＮ的降低,这种作用并非ＲＡ本身对酶活力的影响,而是ＲＡ阻断肝癌发展的结果。     

HPI在肝癌组织中的表达及其对肝癌细胞特异性抑增殖效应研究

肝细胞增殖抑制因子（Ｈｅｐａｔｉｃｐｒｏｌｉｆｅｒａｔｉｏｎｉｎｈｉｂｉｔｏｒ,ＨＰＩ）粗制品、半纯品和纯品对体外培养的人肝癌细胞具有显著抑增殖作用,随样品纯度提高抑制活性逐渐增强。纯品（浓度５μｇ／ｍｌ）的抑制率达７７．７１％。正常成年大鼠肝细胞呈ＨＰＩ阳性表达。在ＤＥＮ诱发大鼠肝细胞癌的发生发展过程中,转化的癌前期细胞和肝癌细胞呈ＨＰＩ阴性表达。表明肝细胞ＨＰＩ的表达能力在其癌变过程中消失,从而失去了自身的抑癌作用。     

外周炎性刺激条件下大鼠脊髓背角PPE mRNA及L-ENK样品和μ阿片受体样阳性结构的变化

以鹿角菜胶（ＣＡＲ）注射到大鼠一侧后爪的足底皮下作为伤害性刺激模型,分别于ＣＡＲ刺激后６、１２ｈ和１、３ｄ处死动物,对照组动物仅将盐水注入一侧后爪足底皮下,用原位杂交法和免疫组织化学法观察前原脑啡肽（ＰＰＥ）ｍＲＮＡ阳性神经元、亮氨酸脑啡肽（Ｌ－ＥＮＫ）和μ阿片受体（ＭＯＲ）样阳性结构在大鼠脊髓背角（ＳＤＨ）的分布和变化。对照组大鼠ＳＤＨ内可见到大量ＰＰＥｍＲＮＡ阳性神经元,这些阳性神经元主要分布于Ⅰ、Ⅱ层和Ⅴ、Ⅵ层,ＣＡＲ刺激后６ｈ,刺激侧ＳＤＨ中ＰＰＥｍＲＮＡ阳性神经元的数量明显增多,１２ｈ和１ｄ达到最高水平,３ｄ时略有下降,但仍高于正常水平。Ｌ－ＥＮＫ样阳性纤维和终末主要分布于正常大鼠ＳＤＨ的Ⅰ、Ⅱ层,ＣＡＲ刺激后１ｄ,Ｌ－ＥＮＫ样阳性结构在刺激侧ＳＤＨ中的密度略有升高,３ｄ后下降直至低于正常水平。ＭＯＲ阳性胞体和纤维主要分布于ＳＤＨ的Ⅱ层,ＣＡＲ刺激后１ｄ,刺激侧Ⅱ层中ＭＯＲ阳性结构明显增加,并持续到刺激后３ｄ。上述结果提示阿片类物质在伤害性信息调控中具有重要作用。     

雄激素受体与雄激素应答元件的相互作用

将雄激素受体（ＡＲ）的ｃＤＮＡ１１１９ｂｐ片段（１１０５－２２２４）（其中包含其ＤＮＡ结合结构域到部分激素结合结构域）克隆于表达南粒ｐＧＥＸ中,通过ＩＰＴＧ诱地,在Ｅ．ｃｏｌｉ中表达ＧＳＴ－ＡＲ融合蛋白,经谷胱甘肽－Ｓｅｐｈａｒｏｓｅ－４Ｂ亲和层析得以部分纯化。利用一个有雄激素应答元件（ＡＲＥ）活性的Ｃ３（１）ＤＮＡ片段为阳性探针,通过凝胶阻滞分析和ＤＮａｓｅ１足迹法证明此表达产物具有牧民的ＤＮＡ     

人胎垂体生长激素样免疫反应细胞的发育

为探讨人胎垂体生长激素细胞发育规律,本文用免疫细胞化学结合图像分析,研究１９例不同胎龄人胎垂体生长激素细胞的形态、大小、光密度变化。结果如下：①胎１６周已存在生长激素免疫反应细胞,随胎龄增加,细胞多排列成团或索,并由周边部向远侧部的中央延伸。②随胎龄增加,生长激素样免疫反应细胞数量逐渐增多,细胞逐渐增大,胞浆逐渐增多,核浆比值逐渐变小。至胎龄３２周,生长激素样免疫反应细胞以大型细胞为主,多为圆形或卵圆形。③生长激素样免疫反应细胞的光密度随胎龄增加而逐渐增高,２６周达高峰,以后呈下降趋势,但仍高于２４周的水平,结果提示：垂体生长激素细胞的发育是从幼稚到成熟的过程,生长激素细胞的功能在胎２４－２６周最旺盛。     

The induction of chromosomal damage in rat hepatocytes and lymphocytes I. Time-dependent changes of the clastogenic effects of diethylnitrosamine,dimethylnitrosamine and ethyl methanesulfonate

Male Wistar rats received a single injection of diethylnitrosamine (DEN), dimethylnitrosamine (DMN) or ethyl methanesulfonate (EMS). After a number of time intervals (up to 56 days) liver cells were assayed for the presence of possible preclastogenic damage by performing partial hepatectomy and subsequent analysis of chromosomal damage (micronucleus formation) in isolated hepatocytes. Peripheral blood lymphocytes from the same animals were collected, stimulated to proliferate and assayed for the frequency of sister-chromatid exchanges (SCEs). Whereas all agents significantly increased frequencies of SCEs in lymphocytes up to at least 28 days (EMS) or 56 days (DMN, DEN) after injection, only the latter 2 compounds gave rise to significantly increased incidences of micronucleated hepatocytes. DMN-induced preclastogenic damage in hepatocytes was lost between 28 and 56 days after injection. After DEN, this type of damage was persistent over the entire experimental period (56 days).When rats treated with DEN did not undergo partial hepatectomy, the frequencies of micronuclei at different time intervals after treatment were at control level. This result, together with those from hepatectomized DEN-treated rats, suggests that it is the persistent character of the preclastogenic damage that is responsible for the occurrence of micronucleated hepatocytes at later time intervals after treatment with DEN, rather than the stability of micronuclei which might eventually have been formed soon after injection.     

Protective effects of Ginkgo biloba against rat liver carcinogenesis

Ginkgo biloba (EGb) has been proposed as a promising candidate for cancer chemoprevention and has shown protective effects on the liver against chemically induced oxidative injury and fibrosis. The potential beneficial effects of EGb were investigated in two rat liver carcinogenesis bioassays induced by diethylnitrosamine (DEN). In a short-term study for anti-initiating screening, male Wistar rats were fed a basal diet or supplemented diet with 500 or 1000 ppm EGb and initiated 14 days later with a single dose of DEN (100 mg/kg i.p.). The respective groups were killed 24h or 2 weeks after DEN-initiation. Liver samples were collected for the analysis of proliferating cell nuclear antigen (PCNA), transforming growth factor alpha (TGF-alpha), p53, apoptosis and induction of single hepatocytes and minifoci positive for the enzyme glutathione S-transferase P-form (GST-P). In a medium-term study for anti-promoting screening, the animals received a single dose of DEN (200 mg/kg i.p.) and, 2 weeks later, were fed a basal diet or supplemented diet with 500 or 1000 ppm EGb for 6 weeks. All animals underwent 70% partial hepatectomy (PH) at week 3 and killed at week 8. Liver samples were collected to analyze development of preneoplastic foci of altered hepatocytes (FAH) expressing GST-P. In the short-term study, pretreatment of rats with 1000 ppm EGb significantly reduced the rates of cell proliferation, apoptosis and p53, TGF-alpha immunoreactivity and the number of GST-P-positive hepatocytes. In the medium-term study, EGb treatment during the post-initiation stage failed to reduce the development of DEN-induced GST-P-positive foci. Thus, EGb presented inhibitory actions during initiation but not promotion of rat liver carcinogenesis induced by DEN.     

白藜芦醇通过糖代谢重编程抑制DEN诱导大鼠肝细胞癌前阶段的恶性增殖

白藜芦醇(resveratrol,RES)可抑制肝癌细胞的生长与增殖。但其在癌前阶段的作用尚不十分清楚。本文研究白藜芦醇对二乙基亚硝胺(diethylinitrosamine, DEN)诱导大鼠肝癌前阶段的作用及机制。SD大鼠分为正常对照组、RES处理组、DEN处理组和RES-DEN处理组。研究结果表明,DEN处理大鼠8周时,肝细胞的总增殖细胞核抗原(proliferating cell nuclear antigen,PCNA)升高至2倍(P<0.05),核内PCNA蛋白表达水平升高至3倍(P<0.001),而RES-DEN处理组大鼠肝细胞总PCNA(P<0.05)和核内PCNA蛋白表达水平(P<0.001)降低。结果提示,RES可显著抑制肝细胞恶性增生。通过非靶向代谢物组学及代谢通路富集分析,结果表明,RES-DEN处理大鼠的肝细胞中,虽然磷酸戊糖途径向糖酵解途径的转变增强,但相较于DEN组大鼠,糖酵解水平并未出现显著提高,提示磷酸烯醇式丙酮酸-丙酮酸-乳酸这条代谢途径被抑制。进一步验证发现,这条代谢途径上的关键酶M2型丙酮酸激酶(M2-type pyruvate kinase,PKM2)和乳酸脱氢酶(lactate dehydrogenase,LDHA)蛋白质表达水平被抑制(P<0.05)。RES可通过调节糖代谢重编程,在肝癌的癌前阶段抑制DEN诱导的大鼠肝细胞的过度增殖,为RES预防肝癌提供了实验依据。     

性激素对大鼠诱发肝癌中胎盘型谷胱甘肽S-转移酶(GST-P)表达的影响

本实验利用Solt-Farber顺序诱发大鼠肝癌,观察肝组织中GST活性及GST-P含量在化学诱癌中的变化,并观察性激素对大鼠化学诱发肝癌的早期病变中GST-P表达的作用。结果显示无论是GST活性或GST-P的含量,在诱癌至第三周开始升高,第五周升至最高。利用此模式,选择诱癌至第五周,免疫组化法检测各种处理后肝组织中GST-P的表达。发现睾丸假切除的雄性大鼠经化学诱癌后,肝中有高的GST-P表达,睾丸假切除的雄性大鼠诱癌合并雌二醇处理,明显降低肝组织GST-P阳性灶的面积和数量;合并睾丸酮处理,虽减少GST-P阳性灶的面积,但其数量略有升高。与睾丸假切除后诱癌的雄性大鼠相比,切除睾丸的大鼠经诱癌,有更低的GST-P阳性灶的面积;睾丸切除合并雌二醇处理,GST-P阳性灶的面积进一步降低。与仅化学诱癌的卵巢假切除雌性大鼠比,卵巢切除鼠诱癌后,GST-P阳性灶的面积稍有增加;对卵巢切除合用睾丸酮的大鼠诱癌,阳性灶的面积进一部增加。无论性腺切除与否,雄性大鼠比雌性大鼠有更高的GST-P表达。这些结果提示雌激素可抑制而雄激素则可促进化学诱癌大鼠肝中GST-P的表达。这一结果可能与临床上男性较女性易患肝癌有关。     

肝癌大鼠异常凝血酶原的研究

用灵敏的凝血酶原蛇毒激活测定法,观察二乙基亚硝胺诱发大鼠肝癌过程中,血浆异常凝血酶原及肝组织内凝血酶原前体含量的变化。血浆异常凝血酶原从诱癌第4周开始持续上升至第13周;第15周有所下降,第20周又开始回升。而在此过程中,肝组织内凝血酶原前体含量变化不明显,而在诱癌20周的肝癌结节内,凝血酶原前体显著堆积。同时,还研究了肝再生过程中大鼠血桨异常凝血酶原及肝内凝血酶原前体的变化。华法令处理的大鼠作为阳性对照。     

1alpha,25-Dihydroxyvitamin D(3) inhibits rat liver ultrastructural changes and the development of gamma-glutamyltranspeptidase-positive foci in diethylnitrosamine-initiated and streptozotocin-induced diabetes-promoted hepatocarcinogenesis

In the present study, the chemopreventive effect of the active metabolite of vitamin D, 1alpha,25-dihydroxyvitamin D(3) (VD(3)), against chemically-induced and diabetes-promoted rat liver carcinogenesis was investigated. Hepatocarcinogenesis was initiated with a single intraperitoneal (i.p.) injection of diethylnitrosamine (DEN) (125 mg kg(-1) body weight) at week 4 followed by promotion with streptozotocin (STZ) (65 mg kg(-1) body weight with a single i.p. injection) at week 7. With this basic experimental regimen, the effect of VD(3) (0.3 microg (0.1 ml)(-1) propylene glycol per os twice a week) was investigated with effect from 4 weeks prior to the exposure of DEN. The results showed that VD(3) supplementation throughout the experimental period reduced the incidence, total number and multiplicity and altered the size of visible persistent nodules (PNs) in DEN- or DEN + STZ-treated rats as compared with their respective controls. In these two groups, it also caused a significant decrease in the number (p < 0.002 and 0.001 respectively) and focal area (p < 0.05) of gamma-glutamyltranspeptidase (GGT)-positive hepatic foci. Moreover, continuous supplementation of VD(3) exhibits a protective effect in maintaining the normal cellular architecture of the hepatocytes in DEN- or DEN + STZ-treated rats. Our results thus strongly suggest that VD(3) is very effective in the inhibition of DEN-initiated and STZ-induced diabetes-promoted rat liver carcinogenesis.     

Combined supplementation of vanadium and 1alpha,25-dihydroxyvitamin D3 inhibit placental glutathione S-transferase positive foci in rat liver carcinogenesis

The combined effects of vanadium (V) and 1alpha,25-dihydroxyvitamin D3 [1,25(OH)2D3] in inhibiting diethylnitrosamine (DEN)-induced and phenobarbital (PB) promoted hepatocarcinogenesis were examined in male Sprague-Dawley rats. All the rats were subjected to 70% partial hepatectomy (PH) at week 4 and 24h later were administered either solvent trioctanoin (Group B, D, F and H) or 10 mg DEN/kg (Group A, C, E and G) by gavage. Briefly after two weeks of DEN administration, PB were administered (0.05% in basal diet) to all the DEN-treated rats and continued till the completion of the experiment. Supplementary V at the dose of 0.5 ppm in drinking water ad libitum (Group C and D), 1,25(OH)2D3 at the dose of 3 microg/ml in propylene glycol per os twice a week (Group E and F) or both V and 1,25(OH)2D3 at the same above given doses (Group G and H) were started 4 weeks prior to DEN administration (week 0) and continued thereafter till week 15. The expression of the number and area of altered hepatocyte foci (AHF) positive for placental glutathione S-transferase (GST-P) was maximum in DEN-treated and PB promoted group (Group A). V (Group C) and 1,25(OH)2D3 (Group E) treatment significantly reduced the expression of GST-P-positive hepatocytes by 36.02% and 45.16% respectively but an additive protective action (61.46%) was found in Group G which received both V and 1,25(OH)2D3 for the entire period of the study. Moreover, histopathological examination and the incidence of hepatic hyperplastic nodules showed that combined action of V and 1,25(OH)2D3 can able to minimize the appearance of nodules as well and maintain the normal cellular architecture than V and 1,25(OH)2D3 when given alone. These results suggest that, when given together V and 1,25(OH)2D3 could be the chemopreventive agents for rat liver carcinogenesis.